Objective To retrospectively analyze data of 4 377 victims during 2 weeks after Min-Zhang earthquake (Richter scale: 6.6), to provide references for decision-making of earthquake medical rescue. Methods We collected data of the wounded during two weeks after the earthquake, analyzed injuries and general rescue in hospital, input the data into Excel, and analyzed the data using SPSS 11.0. Descriptive analysis was conducted. Results As of 14 days after the earthquake, a total of 4 377 victims had been treated, including 858 hospitalized and 194 seriously-injured. The victims were from Min county, Zhang county, Dangchang county, and Li county. 145 injured people had been transferred to 10 municipal hospitals in Gansu province. Mental health centre of Gansu province had conducted psychological intervention among more than thousands of person-times. Disease control and prevention institutions in Dingxi city started severe natural disaster contingency planning 2 hours after earthquake, stipulated and improved the post-quake disease control technology plan, and dispatched quickly anti-epidemic emergency teams to complete tasks that included disposal of carcasses, monitoring water quality and epidemics, disinfecting environmental ruins, epidemic control in resettled areas, and large-scale health education. Conclusion The headquarter, in charge of medical relief and anti-epidemic work in the stricken areas of Min county and Zhang county, integrated resources, made overall command and quick response, and accomplished the phased tasks including anti-quake work, medical relief and anti-epidemic work, which replenished valuable data and experience.
ObjectiveTo systematically review efficacy and safety of docetaxel chemotherapy combine with 3-dimensional conformal radiation therapy (3D-CRT) in treatment of esophageal cancer.MethodsDatabases including PubMed, EMbase, The Cochrane Library, Web of Science, CNKI and WanFang Data were searched from inception to February 2017 to collect randomized controlled trials (RCTs) and quasi-randomized control trials (qRCTs) about docetaxel chemotherapy combine with 3D-CRT in treatment of esophageal cancer. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then meta-analysis was performed by using Stata 12.0 software.ResultsA total of 17 RCTs involving 1 353 patients were included. The results of meta-analysis showed that, compared with the radiotherapy alone, the docetaxel chemotherapy combine with 3D-CRT could improve effective rate (OR=1.25, 95%CI 1.07 to 1.47, P=0.003), 3-year survival rate (OR=1.91, 95%CI 1.19 to 3.06, P=0.006), but there were no significant differences in 1-year survival rate (OR=1.28, 95%CI 0.95 to 1.72, P=0.105), hematologic toxicities (OR=1.13, 95%CI 0.85 to 1.49, P=0.389) and gastrointestinal reactions (OR=1.19, 95%CI 0.90 to 1.57, P=0.181).ConclusionsCompared with radiotherapy alone, docetaxel chemotherapy combine with 3D-CRT can improve the effective rate, 3-year survival rate, but not increase the incidences of adverse effects. Due to limited quantity and quality of the included studies, more high quality studies are needed to verify above conclusion.
Objective To retrospectively analyze medical rescue during Min-Zhang earthquake. Methods Medical rescue data reported from cities and counties in Gansu province were summarized in the earthquake relief and medical rescue headquarter of Gansu province. They were input into a database using Excel software. Descriptive analysis was conducted using SPSS 17.0. Results After the earthquake, Gansu Heath System quickly responded to the situations and started the contingency plan for earthquake, while patches of medical rescue teams were sent to the stricken areas. As of 14 days after the earthquake, 4 377 victims were treated in medical institutions of each levels. Hospital infection was comprehensively in control and psychological intervention was conducted among the target population. Conclusion The emergency response of Gansu Heath System was quick, effective, and well organized. Facing extraordinary disaster, Gansu province smoothly accomplished the tasks of earthquake relief and medical rescue at the initial stage.